• Ops Account-OPS - Coordinator Ii

    CVS Health (Hartford, CT)
    …on Aetna Policy and guidelines. **Required Qualifications** A minimum of 1+ years QNXT claims experience (reading or processing of claims ) Excellent written ... communication skills Exhibits Heart at Work Behaviors Meeting or Exceeding all scorecard objectives for a rolling 12 months Strong analytical and research skills **Preferred Qualifications** Basic experience in Microsoft Applications (Outlook, Excel, TEAMS)… more
    CVS Health (09/18/25)
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  • Executive Director, Compliance Program…

    Otsuka America Pharmaceutical Inc. (Princeton, NJ)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/18/25)
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  • Compliance Specialist 2 (07026,08041)

    State of Montana (Helena, MT)
    …for this Career Opportunity ** * Knowledge of Medicaid rules, medical claims processing , medical terminology and coding principles and practices. * ... Healthy Montana Kids (HMK) programs. Key duties include analyzing medical claims data, evaluating provider billing practices, and ensuring compliance with applicable… more
    State of Montana (09/17/25)
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  • Director, Global Value Evidence Operations

    Otsuka America Pharmaceutical Inc. (Montpelier, VT)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/13/25)
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  • Director, Global Integrated Evidence Strategy

    Otsuka America Pharmaceutical Inc. (Oklahoma City, OK)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/13/25)
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  • Senior Product Manager, HCP Marketing, ADHD

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/12/25)
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  • Patient Acct Clerk

    WMCHealth (Poughkeepsie, NY)
    …link Job Details: Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of medical services provided ... Responsibilities include initial billing, investigation and reconciliation of problem claims , insurance follow up, filing, and other clerical tasks.… more
    WMCHealth (09/12/25)
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  • Executive Director of R&D Global Quality (Remote)

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/12/25)
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  • Manager, People Operations

    Otsuka America Pharmaceutical Inc. (Princeton, NJ)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/10/25)
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  • Pharmacy Tech

    UnityPoint Health (Urbandale, IA)
    …received by the Specialty Pharmacy including data entry, insurance processing , and prior authorization completion for specialty medications. Understands pharmacy ... benefit and medical benefit claims submission process for reimbursement of prescription medications. Communicates with patients/caregivers, insurance company… more
    UnityPoint Health (09/09/25)
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